Mining Proposal and Closure Plan for Low Impact Mining ...

1 Government of Western AustraliaDepartment of Mines, Industry Regulation and SafetyPetroleumGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyMineral TitlesGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyEnvironmentGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyResources SafetyGovernment of Western AustraliaDepartment of Mines, Industry Regulation and SafetyGeological Survey of Western Australia1 Office use only: Registration ID: _____DRAFT ONLY FOR COMMENTLEGENDText within this section has been revised from the previous version to incorporate stakeholder within this section has not been revised however it has moved within the document.

2 Mining Proposal and Closure plan for Low Impact Mining OperationsProponents are required to contact the relevant Department of Mines, Industry Regulation and Safety (DMIRS) Environmental Officer for the region in which the low Impact Mining operation is proposed to confirm the use of this pro objective of this form is to assist small operators in the preparation of a Mining Proposal and Mine Closure plan . This form is to be used for small-scale developmental Mining and is not intended to replace the Programme of Work form which can still be used for exploration and prospecting activities. Guidance information has been provided in this form to assist in its completion.

3 For additional assistance please contact a DMIRS Environmental Officer or consult the Guideline for Mining Proposals in Western Australia 2016 and Guidelines for Preparing Mine Closure Plans 2015. A separate template will be available for completing standalone Mine Closure Plans lodged without a Mining Proposal as per the requirements of Section 84 AA of the Mining Act Mining Proposal and Mine Closure plan for low Impact Mining operations is required to meet the following criteria: low risk, small-scale activities, including scrape and detecting, small-scale test pits, small mobile dry/wet plants, small-scale vat/heap leach operations , small shafts or winzing, small precious stones Mining , small-scale gypsum Mining , small-scale basic raw material extraction and small-scale river-sand Mining .

4 The assessment of risk is based on the type, scale, location or scope of activities to be conducted. operations which are free of high risk issues that may require ongoing management post Closure , for example fibrous minerals, radioactive materials, elevated heavy metals, material capable of generating acid and/or metalliferous drainage, erodible material that is capable of compromising the stability and or safety of the waste dump or overburden stockpile, permanent surface water diversions. operations which do not include permanent excavations below the water table. operations with less than 4,000 litres of fuel on site. operations which do not require referral under Part IV of the Environmental Protection Act 1986.

5 Which are not located within reserved land ( conservation, water or town site reserve, with the exception of unoccupied town sites) or Public Drinking Water Source your proposed activities narrowly miss these criteria, you may discuss possible use of this form with the DMIRS Environmental Team Leader for your region (Environment Inspectorate Map).Contact InformationNorthern RegionSouthwest RegionGoldfields RegionPh: (08) 9222 3484 Email: (08) 9222 3737 Email: Ph (08) 9021 9494 Email: Environmental Division Inspectorate MapBefore the commencement of Mining operations , an approved project management plan (PMP) is a requirement under the Mines Safety and Inspection Act 1994 and Mines Safety and Inspection Regulations 1995.

6 For more information please contact Mines Safety (1800 SAFEMINE) or 2 DRAFT ONLY FOR COMMENTM ining Proposal and Mine Closure plan for Low Impact Mining operations ChecklistY/N/NAComment(s)Please acknowledge that you understand and commit to complying with all tenement you aware that this Mining Proposal is publicly available? Is there any information in this Mining Proposal that should not be publicly available? If yes please provide confidential information in a separate document. A non-confidential version of all Mining proposals will be made available to the public. For tenements with multiple tenement holders, have all of the holders consented to this Proposal being submitted?

7 Mining Proposals and Mine Closure Plans which have not been submitted by the tenement holder must include authorisation from the tenement holder. Endorsement of Tenement Holders/Authorised Person/s I hereby certify that to the best of my knowledge, the information contained within this Mining Proposal and Mine Closure plan and checklist is true and :Signature: Date:Name:Signature: Date:3 DRAFT ONLY FOR COMMENTMINING Proposal AND MINE Closure plan FOR LOW Impact Mining OPERATIONSP roject Title:Tenements:Project Code (J code) (if known):Environmental Group Site (EGS) Code:(Code is derived from the EARS2 system.)

8 Leave blank if new site)Operator(s):Contact Name:Address:Phone:Email:Tenement Holder s Name (if different to above)*:*Attach authorisation of Tenement Holder if SCOPE OF Please describe the activities, nature and scope of the Mining operation proposed, including information to demonstrate how the operation meets the low Impact Mining operations Mineral(s) of Maximum depth of excavations (m) Description of waste rock Estimated length of operations (months/years) (including commencement and completion dates) Estimated workforce (persons) Will ore be processed on or off site? If off-site, where will processing occur? Detail the ore transportation route or attach a map showing the If on-site, please describe the type of processing ( dry/wet plant) and estimated total throughput (t) for the life of the operation:4 DRAFT ONLY FOR Is a heap/vat leach proposed?

9 If yes provide a description of the heap/vat leach facility ( max. height, liner type, process chemicals used). Description of other support facilities ( camp).2. EXISTING Describe the existing area ( historic mines, waste dumps, old plant sites, general rubbish/scrap, large previously cleared areas). Describe Existing Vegetation and Landform ( mulga shrublands, eucalypt/saltbush woodland, spinifex grassland, flat alluvial plain, greenstone, range, creek/drainage lines, hillsides etc.).A flora and fauna desktop enquiry/search is required to determine if there are any known species of conservation significance (ie. threatenead, priority, declared rare flora and fauna species) within the area.

10 At a minimum, a search of the project tenements is to be conducted on the Department of Biodiversity, Conservation and Attractions (DBCA) NatureMap website. Please contact a DMIRS Environmental Officer if you require assistance using the search identifies flora or fauna of conservation significance, then further work, including on-ground surveys, may be required. This should be discussed with the relevant DMIRS Environmental Officer. DMIRS recommends the applicant includes photos of the proposed disturbance area to assist the assessment process. A search of the project tenements has been conducted in NatureMap and results are Were any conservation significant flora or fauna species ( threatened, priority, declared rare) located in the search?